| NPI | 1508259805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 25382) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206588) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2023-06-13 |